| NPI | 1780867382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 981897) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT80659) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2019-12-05 |